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Individual

DR. IRA T KEDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
225 S CHESTER RD STE 4, SWARTHMORE, PA 19081-1919
(610) 325-7792
Mailing address
PO BOX 1264, MEDIA, PA 19063-8264
(610) 325-7792

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS-008236-L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
951263
HIGHMARK BC/BS IDENTIFIER
PA
Enumeration date
04/08/2006
Last updated
08/19/2025
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